Organization
CANTON FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FRAGNOLI DDS (OWNER DENTIST)
(586) 484-2054
Entity
Organization
Contact information
Practice address
7676 N CANTON CENTER RD, CANTON, MI 48187-1500
(734) 789-3232
Mailing address
21879 BARCLAY DR, NOVI, MI 48374-3865
(586) 484-2054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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